APPLICATION FOR EMPLOYMENT
APPLICATION FOR EMPLOYMENT
Starbucks Coffee Company is an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, color, age, sex, religion, national origin, the presence of mental, physical, or sensory disability, sexual orientation, or any other basis prohibited by federal, or provincial law.
Please complete entire application to ensure processing.
PERSONAL INFORMATION (Please print)
Name
Last
First
Middle
Date (M/D/Y)
Are you 16 years of age or older?
(proof of age may be required if hired)
Yes_______
No_______
Present Address
Street
Permanent Address
Street
Phone Number
Daytime
Have you ever been convicted of a criminal offense for which a pardon has not been granted?
Yes_______ No_______
City
Are you legally able to work in Canada?
Yes_______ No_______
Province
Postal Code
City
Province
Postal Code
Evening
Referred By
EMPLOYMENT DESIRED (if you are applying for a retail hourly position, please keep in mind that the availability of hours may vary.)
Position
Location/Department
Salary Desired
Date You Can Start
Specify hours available for each day of the week
Sunday
Monday
Start:
Start:
End:
End:
Tuesday
Wednesday
Thursday
Start:
Start:
Start:
Start:
End:
End:
End:
End:
Friday Start: End:
Saturday
Are you able to work overtime?____________ Have you ever worked for Starbucks Coffee Company?__________ If yes, when? _______________ Which store/department?________________________
EDUCATION
Name and Address of School
Circle Last
Did You
Subjects Studied and
Years Completed G r a d u a t e ? Degrees/Diplomas Received
High School
1 2 3 4
Y N
Post Secondary
1 2 3 4
Y N
Post Secondary
1 2 3 4
Y N
List skills relevant to the position applied for__________________________________________________________________________________________
SKILLS For Office/Administrative positions only
Typing WPM:_____________________
10-Key: Yes No
Computer Proficiency:
Word for Windows
Excel
Others: ________________________________________________________
Have you ever visited a Starbucks Coffee location? Where? Describe your experience. ______________________________________________________ ___________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________
Why would you like to work for Starbucks Coffee Company?____________________________________________________________________________ ___________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________
Describe a specific situation where you have provided excellent customer service in your most recent position. Why was this effective? ________________ ___________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________
SKU #
FORMER EMPLOYERS
Date (M/D/Y) From
1 To
Duties Performed
List below current and last three employers, starting with most recent one first. Please include any non-paid/volunteer experience which is related to the job for which you are applying. Please complete even if you attach a resume.
Current Employer (Name and Address of Employer-Type of Business)
Salary Or Hourly
Starting __________________ Ending __________________ If hourly, average # of hours per week__________
Position
Reason For Leaving
Supervisor's Name
Phone Number
May We Contact?
From 2
To Duties Performed
Supervisor's Name
Previous Employer (Name and Address of Employer-Type of Business)
Salary Or Hourly
Starting __________________ Ending __________________ If hourly, average # of hours per week__________
Position
Reason For Leaving
Phone Number
May We Contact?
From 3
To Duties Performed
Supervisor's Name
Previous Employer (Name and Address of Employer-Type of Business)
Salary Or Hourly
Starting __________________ Ending __________________ If hourly, average # of hours per week__________
Position
Reason For Leaving
Phone Number
May We Contact?
From 4
To Duties Performed
Supervisor's Name
Previous Employer (Name and Address of Employer-Type of Business)
Salary Or Hourly
Starting __________________ Ending __________________ If hourly, average # of hours per week__________
Position
Reason For Leaving
Phone Number
May We Contact?
REFERENCES
Please provide names of three professional references, whom you have known at least one year.
Name 1. 2. 3.
Address & Phone Number
Business
Years Acquainted How Do You Know
This Person?
I hereby authorize Starbucks to thoroughly investigate my background, references, employment record and other matters related to my suitability for employment. I authorize persons, schools, my current employer (if applicable), and previous employers and organizations contacted by Starbucks to provide any relevant information regarding my current and/or previous employment and I release all persons, schools, employers of any and all claims for providing such information. I understand that misrepresentation or omission of facts may result in rejection of this application, or if hired, discipline up to and including dismissal. I understand that I may be required to sign a confidentiality and/or non-compete agreement, should I become an employee of Starbucks Coffee Company. I understand that nothing contained in this application, or conveyed during any interview which may be granted, is intended to create an employment contract. I understand that filling out this form does not indicate there is a position open and does not obligate Starbucks to hire me. I authorize Starbucks to share my resume and application with neighbouring Starbucks locations and / or corporate office that have employment opportunities. I also understand that if employed by Starbucks, I may be required to provide satisfactory proof of identity and legal work authorization. Failure to submit such proof may result in immediate termination of employment. I have read and fully understand this Starbucks employment application, and I seek employment under these conditions.
Date _______________________________________ Signature _______________________________________________________
For Retail positions please submit this application at your nearest store location. For non-retail openings, please visit our website at to apply for any posted position.
WE ARE AN EQUAL OPPORTUNITY EMPLOYER COMMITTED TO HIRING A DIVERSE WORKFORCE.
PRINTED ON RECYCLED PAPER
SKU #
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